Provider Demographics
NPI:1871687947
Name:ROTHMAN, ALLEN SCOTT (DC)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:SCOTT
Last Name:ROTHMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9920 4TH AVE
Mailing Address - Street 2:SUITE 313
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-8333
Mailing Address - Country:US
Mailing Address - Phone:718-331-5980
Mailing Address - Fax:718-331-5971
Practice Address - Street 1:9920 4TH AVE
Practice Address - Street 2:SUITE 313
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-8333
Practice Address - Country:US
Practice Address - Phone:718-331-5980
Practice Address - Fax:718-331-5971
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005986-1111N00000X
NJ38MC00614800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP610403OtherOXFORD
NYC0598667BOtherWORKERS COMPENSTATION
NYP610403OtherOXFORD